Bartecchi et al. "The human costs of tobacco use." NEJM 1994;330:907;975

leading cause of preventable premature death in our society

The Human Costs of Tobacco Use

kills smokers

second hand smoke is a big issue as well

Cardiovascular Disease

1/5 of deaths due to this were from smoking

2.5-fold increased risk of fatal coronary heart disease and nonfatal myocardial infarction in women

Cancer

85% of lung cancers

no evidence of a threashold level of sxposure

greatest risk of oral cancer in people who smoke and drink regularly

30% of new cervical cancers

Lung Disease

leading cause

Children and Adolescents

babies weigh 200g less and have a 33% increased risk of stillbirths and early neonatal deaths

most educated smoke the least

Women

lung cancer more prevelant than breast cancer

oral contraceptives and smoking considerably increases the risk of dying of cardiovascular disease

Minorities

generally higher rates of smoking amoung minorities

The Elderly

20% of cataracts are attributable to smoking

Economic Costs of Tobacco Use

consumption depends on economic events (war)

may not be so great because most smokers don’t live to get their social security benefits

smoking employees work 6.5 days less per year and make 6 more medical visits per year

most civilian fires caused by smoking

The Tobacco Industry

remain very profitable

Tobacco Advertising and Marketing

increased advertising since media ban

especially in sports

advertising target at children

Tobacco Exportation

very large exports (although only 8% of production)

no foreign warnings

The Tobacco Lobby

very effective

lots of money

The Campaign to Prevent Tobacco Use

people don’t want to change

lots of money and advertising for smoking

lowest taxes and regulations in the US

Somking Restrictions in the Workplace and in Public

dramatic increases

Bans on Advertising and Sponsorship by Tobacco Companies

second most advertised product after cars

Restrictions on Sales of Tobacco to Minors

80-90% start as minors

Tobacco Subsidies

tax-deduction of advertising

Tobacco Taxes

10% price rise gives a 4% reduction in use


Table of Contents

Copyright 2000 by David Black-Schaffer